| NPI | 1821243635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 44256) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0052346) |
| 207V00000X Obstetrics & Gynecology (Licence: UT 7154778-1205) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2020-09-08 |